Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of institution are you? *

School

Synogogue

Camp

Business

Non-profit

Other

Is your organization a 501(c)3 or tax exempt? *

Yes

No

Do you own your own building(s) or land? *

Yes

No

Do you believe that your institution will be able to raise at least 50% of the solar equipment and installation costs?

Yes

No

Maybe